{% load comp_filters %}
    <form id='form-addservice' action="">
      <div id='icon-view'>
        <img id='icon-cover' src='/adult/res/dft_icon.png'></img>
      </div>
      <div id='misc'>
        <label for"type">Type:</label>{{"type"|select|style:"width:140px;float:right;"|addfield:"Brothel"|addfield:"Escort"|render|safe}}
        <label for"age">Age:</label>{{"aveage"|select|style:"width:140px;float:right;"|addfield:"16-20"|addfield:"20-30"|addfield:"30-40"|render|safe}}
      </div>
      <div id='icon'>
        <input type='textfield' name='icon' value='icon'/> 
      </div>
      <p id='email'>
        <label for="email">Email:</label>
          <span class='input-fine'>
          &#9746
          </span>
        <input type='textfield' name='email' value='{{REQUEST.email}}'/> 
      </p>
      <div id="name">
        <label for='name'>Servicename:</label>
          <span class='input-fine'>
          &#9746
          </span>
        <input type='textfield' name='name' value='{{REQUEST.name}}'/>
      </div>
      <div id="phone">
        <label for='phone'>Phone:</label>
          <span class='input-fine'>
          &#9746
          </span>
        <input type='textfield' name='phone' value='{{REQUEST.phone}}'/>
      </div>
      <p id='address'>
        <label for="address">Address:</label>
        <span class='input-fine'>
          &#9746
        </span>
        <input type='textfield' name='address' value='{{REQUEST.phone}}'/>
      </p>
      <div id='description'>
        <label for="description">Description:</label>
        <span class='input-fine'>
        &#9746
        </span>
        <textarea name='description' value='{{REQUEST.phone}}'></textarea>
      </div>
      <div id='days'>
        <a>Working Days:</a></br>
          <input type = checkbox name='Sun' value = 'Sun'>Sun.</input>
          <input type = checkbox name='Sat' value = 'Sat'>Sat.</input>
          <input type = checkbox name='Tue' value = 'Tue'>Tue.</input>
          <input type = checkbox name='Wed' value = 'Wed'>Wed.</input>
          <input type = checkbox name='Thu' value = 'Thu'>Thu.</input>
          <input type = checkbox name='Fri' value = 'Fri'>Fri.</input>
          <input type = checkbox name='Mon' value = 'Mon'>Mon.</input>
      </div>
      <p id='grade'>
        <input type='textfield' name='grade' value='1'/>
      </p>
      <p id='privilege'>
        <input type='textfield' name='privilege' value='normal'/>
      </p>
    </form>
